Individual
LUCY MACKINNON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 31ST ST S STE B, ARLINGTON, VA 22206-1665
(703) 865-6490
Mailing address
6630 81ST ST, CABIN JOHN, MD 20818-1205
(410) 980-2924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86300512
MD
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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